4685 Cambridge Dr - Inspection FormSump pumps
Foundation drains
Rpof drains
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Residential Sanitary Sewer Service
Compliance Inspection
P • a
Date / °J am
' %1 Tim p
Name Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
-No roof drain connection
5 11, Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
13Street Name
OwnerIOccuWa gnature
Number Discharged
Total Correctly
•
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Record Number
Notes
Incorrectly Unknown c -
Phone
• Qam
Time • p pm
Obstruction
Unable to push past
feet
ector Signature :\ aE
For information call 651,470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S.L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH